Primary Care of Adult Women: Dermatologic Conditions

    Arlene Ruiz de Luzuriaga, Julie M. Mhlaba, Carly J. Roman
    From the encyclopedia
    Spironolactone →

    powerful topical and oral anti-androgen used mostly by women

    Minoxidil →

    An essential vasodilator with some anti-androgenic effects

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    Studysummary This article reviews common dermatologic conditions seen in primary care, such as acne and skin cancer, but reports no new findings. Our plain-language summary of this paper — not a Tressless recommendation.
    The document from June 1, 2016, provides an overview of dermatologic conditions affecting adult women, including acne, alopecia, melanoma, dermatitis, and lichen sclerosus. Acne is the most common skin disorder, affecting 85% of people aged 12 to 24, with 40% of women aged 25 to 40 experiencing adult acne. Treatments range from topical retinoids to systemic antibiotics and isotretinoin, and the prognosis is generally good with treatment. Alopecia, particularly female pattern hair loss and telogen effluvium, is common, with treatments including topical minoxidil and spironolactone, and varying prognoses. Melanoma has a high survival rate if detected early, with a 10-year survival rate over 95% for thin tumors. Dermatitis, including contact and atopic dermatitis, is more prevalent in women, with half of AD patients experiencing symptoms at age 29. Lichen sclerosus, a chronic inflammatory condition, typically begins between ages 45 and 55 and is treated with topical steroids or macrolides, but can lead to significant scarring if untreated.
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